Nutley Volunteer Emergency Rescue Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

N0711015 Issued in NJ

Legal business name

NUTLEY VOLUNTEER EMERGENCY RESCUE SQUAD

Practice address

119 Chestnut St
Nutley, NJ 07110-2432

Phone

(973) 667-7487

Fax

(973) 667-6571

NPI assigned

Oct 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James H Paulson

Title

President & Ceo

Phone

(973) 667-7487

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nutley Emergency & Rescue Squad Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1932435310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071100172",
            "telephone_number": "973-667-7487",
            "fax_number": "973-667-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102432",
            "telephone_number": "973-667-7487",
            "fax_number": "973-667-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTLEY VOLUNTEER EMERGENCY RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "973-667-7487",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "N0711015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222411",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutley Emergency & Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nutley Park Shop Rite Inc
• Nutley Public Schools
• Nutley Vascular Clinic
• Nutley Vision
• Nutley Vision LLC
• Ny NM Chiropractic Wellness PC
• Odek Medical Care & Consulting Services
• Raphael Oluseun Odekunle, MD
• Bruce Ollins, D.M.D.
• Gabriel Jared Ollins, D.D.S

• Land Ambulance in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.